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2019-2020 Inland District Dietetic Association Membership Form
Membership Dues:
Active RD: $30.00
First Year Active RD: $15.00 (must send proof of first year credential)
Active DTR: $25.00
Retired: $15.00
Intern/Student: $10.00
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Name (Last, First, MI)
*
Your answer
Membership Type
*
Choose
Active RD
First Year Active RD
DTR
Retired RD
Student/ Intern
Academy of Nutrition and Dietetics Membership Number
*
Membership with the Academy of Nutrition and Dietetics required for IDDA membership.
Your answer
Mailing Address
*
Your answer
Phone Number
*
Please provide your preferred contact number, for communication with IDDA. Your number will not be released to outside parties.
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E-mail Address
*
Your answer
I am interested in volunteering with IDDA for the following:
Community Outreach/ Health fairs
Fundraising
Programs/ Webinars/ Workshops
Legislation
Newsletter
Mentorship
Social Media
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